+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Hemiarthroplasty for femoral neck fracture in the elderly surgeon and hospital volume-related outcomes



Hemiarthroplasty for femoral neck fracture in the elderly surgeon and hospital volume-related outcomes



Journal of Arthroplasty 20(4): 503-508



The elderly patient with a displaced femoral neck fracture is commonly treated via hemiarthroplasty. The objectives of this study were to: 1) determine the rates of in-hospital mortality, complications, and prolonged length of stay (LOS) in such patients; 2) elucidate the patient characteristics that predict these occurrences; and 3) investigate the influence of surgeon and hospital volumes on these outcomes. Using the Nationwide Inpatient Sample (NIS), 173,508 cases of hemiarthroplasty for femoral neck fracture were identified in patients > or =65 years of age. Univariate and multivariate analysis demonstrated that hospitals with low caseload volumes were associated with increased patient risk for prolonged LOS, pulmonary embolism, urinary tract infection, and pneumonia. Surgeons with low caseload volumes were associated with increased risk for mortality and prolonged LOS. Quality-improvement initiatives would benefit from consideration of these factors.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 049203111

Download citation: RISBibTeXText

PMID: 16124968

DOI: 10.1016/j.arth.2004.03.025


Related references

Does surgeon volume for total hip arthroplasty affect outcomes after hemiarthroplasty for femoral neck fracture?. American Journal of Orthopedics 39(8): E84-E89, 2010

Outcomes after fixation for undisplaced femoral neck fracture compared to hemiarthroplasty for displaced femoral neck fracture among the elderly. Bmc Musculoskeletal Disorders 16: 199, 2015

Mobility and functional outcomes after femoral neck fracture surgery in elderly patients: a comparison between hemiarthroplasty and internal fixation. Disability and Rehabilitation 33(23-24): 2264-2271, 2011

What is the impact of age on reoperation rates for femoral neck fractures treated with internal fixation and hemiarthroplasty? A comparison of hip fracture outcomes in the very elderly population. Journal of Orthopaedics 13(1): 33-39, 2016

Evaluation of femoral neck fracture treatment with hemiarthroplasty in elderly patients. Chirurgia Narzadow Ruchu i Ortopedia Polska 67(5): 473-479, 2002

Hemiarthroplasty for femoral neck fracture in the elderly--an operation suitable for teaching?. Zentralblatt für Chirurgie 138(Suppl. 2): E41-E46, 2013

Is cemented bipolar hemiarthroplasty a safe treatment for femoral neck fracture in elderly patients?. Clinical Interventions in Aging 10: 1063-1067, 2015

Risk Factors Associated with Dislocation after Bipolar Hemiarthroplasty in Elderly Patients with Femoral Neck Fracture. Hip and Pelvis 28(2): 104-111, 2016

Outcomes in nonagenarians after hemiarthroplasty for femoral neck fracture. A prospective matched cohort study. Hip International 22(1): 113-118, 2012

In-hospital mortality after femoral neck fracture: do internal fixation and hemiarthroplasty differ?. American Journal of Orthopedics 32(3): 151-155, 2003

Evaluation of the postoperative quality of life in the elderly over 80 years old who underwent hip hemiarthroplasty for femoral neck fracture. Zhonghua Wai Ke Za Zhi 42(23): 1409-1411, 2004

Minimally invasive intermuscular approach does not improve outcomes in bipolar hemiarthroplasty for femoral neck fracture. Journal of Orthopaedic Science 15(6): 753-757, 2010

Who Will Walk Again? Effects of Rehabilitation on the Ambulatory Status in Elderly Patients Undergoing Hemiarthroplasty for Femoral Neck Fracture. Geriatric Orthopaedic Surgery and Rehabilitation 6(3): 168-172, 2015

In-Hospital Outcomes after Hemiarthroplasty versus Total Hip Arthroplasty for Isolated Femoral Neck Fractures. Archives of Bone and Joint Surgery 2(3): 151-156, 2014

Unipolar hemiarthroplasty versus bipolar hemiarthroplasty in the most elderly patients with displaced femoral neck fractures: a randomised, controlled trial. International Orthopaedics 35(11): 1703-1711, 2011